Physician
Francisco J Monserrate Rodriguez MD, PSC
Francisco J Monserrate Rodriguez MD, PSC was paid $428K by Medicaid between Feb 2018 and Apr 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoFRANCISCO J MONSERRATE RODRIGUEZ MD, PSC
SAN JUAN, PR 00923
SAN JUAN, PR 00923
33aNPI1356693444assigned 10/12/2012
33bProvider typeOphthalmology Physician
28Total paid$428K
24GClaims6,405
24DCodes billed7
24AFirst – last monthFeb 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in Puerto Rico
Rank by total paid#41 of 141
Median peer was paid$163K
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,094 | $63K | |
| 2019 | 1,482 | $93K | |
| 2020 | 1,376 | $86K | |
| 2021 | 926 | $65K | |
| 2022 | 831 | $64K | |
| 2023 | 544 | $44K | |
| 2024incomplete | 152 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 67% | 2,759 | 2,362 | $286K |
| 92015 | Determination of refractive state | 15% | 1,670 | 1,493 | $66K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 15% | 871 | 772 | $63K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.9% | 105 | 95 | $12K |
| 92225 | <1% | 282 | 146 | $153.60 | |
| 92226 | <1% | 201 | 103 | $35.00 | |
| 92202 | 0% | 517 | 411 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMONSERRATE, FRANCISCO (OPHTHALMOLOGY)
Parent organizationFRANCISCO J MONSERRATE RODRIGUEZ MD,PSC